CAADE Exam Study Guide

CAADE Exam Study Guide What pattern of personality change includes apathy, lack of concern for the future and loss of ambition that occurs in some marijuana users - Amotivational ________ is the essential first step in determining the possible causes of addiction for the person and the most appropriate treatment modality for his or her needs. - Assessment 2. A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should: - a. create new goals and objectives, and suggest alternate forms of therapy b. talk to the client about possible denial c. refer the client for more appropriate treatment d. draw up a new contract with the client e. discuss these concerns with the client and make necessary changes in treatment goals. This is one of those "more than one correct" responses. A, b, c, and d could be considered the right thing to do. However, doing the "e" response would include all four of the others. 3. A female client reports that she has some concerns about the relationship between her husband and her 14-year-old daughter from a previous marriage. She reports that her husband and daughter frequently argue, that her daughter refuses to take direction from her stepfather, and that her daughter regularly complains about her stepfather's "faults" and describes how her biological father is better. The MOST relevant professional to whom a referral should be made is a: - a. Social worker. b. Clinical psychologist. c. Licensed professional counselor. d. Marriage and family therapist. e. School psychologist. While all of the other professionals may be helpful, there is no guarantee that they would 4. A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is: - a. To be alert to and understand the power relationship. b. To utilize the differential power to motivate the client. c. To realize the importance of this power in client interventions. d. To not become involved in a dating relationship until the client has completed treatment. e. To use differential power to get the client to try new behaviors. D is an obviously wrong response (and unethical, too), but the other three may sound appropriate. However, differential power has a place and purpose of use based on the client and their needs. The "a" response is the best choice to answer the question. 5. A pretreatment period is frequently the result of waiting lists or client reluctance to become fully engaged in primary treatment. What might be a danger of this pretreatment period? - a. The pretreatment period may be when clients lose interest in treatment. b. A client may receive enough help so as not to need the services of the program or agency. c. Successful pretreatment may result in a client needing services that an agency doesn't have, thus losing the potential admission. d. Typically, pretreatment services are not paid for by insurance services. e. There is really no danger with pretreatment - recovery will require much more programming than pretreatment can offer. Losing a client's interest is the biggest concern we always face in the field. Denial, delusion, "feeling better" are always good excuses not to get help. Not being able to engage the client quickly and get them started is always a risk. 6. According to Marlatt's model of the relapse process, which of the following statements is not true? - a. Abstinence, not controlled use, must be the ultimate goal. b. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. c. Clients should be taught skills for anticipating, avoiding, and coping with their personal high- risk situations. d. Clients should be taught constructive responses to cope with lapses when they do occur. e. Any positive expectations that clients have about drug use should be countered with reminders about the lows that follow the highs and about